Oconee Neurology, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

054702 Issued in GA

Legal business name

OCONEE NEUROLOGY, LLC

Practice address

425 N Cobb St
Milledgeville, GA 31061-2634

Phone

(478) 454-1034

Fax

(478) 454-1014

NPI assigned

Oct 10, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James A Wilson, MDNPI 1144398140

Title

President

Phone

(478) 454-1034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James A Wilson, MD

  • Neurology Physician
  • Milledgeville, GA
  • NPI 1144398140

  Single Specialty

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1639689136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612634",
            "telephone_number": "478-454-1034",
            "fax_number": "478-454-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612634",
            "telephone_number": "478-454-1034",
            "fax_number": "478-454-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-454-1034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "054702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oconee Community Service Board
• Oconee Community Service Board
• Oconee ENT and Cosmetic Surgery Center
• Oconee Family Medicine Center, PC
• Oconee Internal Medicine, LLC
• Oconee Orthopedics LLC
• Oconee Pathology Associates, P.C.
• Oconee Primary Care Center, LLC
• Oconee Radiology Associates
• Oconee Regional Health Ventures, Inc

• Neurology Physician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.